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All absent elements with high strength-of-evidence of effectiveness in most projects indicated deficiency.
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Web based technologies (web-services and web-browsers) support most of the projects, indicating that these new technologies are quickly adopted in healthcare institutions.
Web based technologies and messaging technologies are supporting most of the current integration projects, indicating that these new technologies are quickly adopted in healthcare institutions.
Most projects require some serious elbow grease.
For most projects, training materials remained mediocre.
Most projects were non-commercial.
In most projects the project leader is the project founder and the project maintainer [ 27].
Most projects were observational, while an experimental design was used in 43% of projects.
However, most projects require sequence improvement/finishing before annotation.
Engineering economics for the project indicate feasibility.
Interestingly, contributing to the same project indicates cooperation.
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